SAM #RFQ260737

CMS Sole Source License Procurement for Private Marketscan Commercial Health Insurance Claims Database

CMS is seeking to procure a sole source license for access to the Private Marketscan Commercial Health Insurance Claims Database from Merative US L.P. - The contract will provide: - Commercial health insurance claims data - Cost-sharing and utilization data - Demographic identifiers and payer plan type information - Technical support and documentation, including a data dictionary - Data quality notifications - Section 508 compliance for all data files and documentation - Data coverage spans from 1998 to the most recent available year - Delivery will be via a secure data sharing portal - Interested parties may submit capability statements within 14 days - Sole source procurement; Merative US L.P. is the specified vendor - Timely data quality notifications and accessibility compliance are required

Key Details: - OEM: Merative US L.P. - No specific quantities or part numbers provided - Period of performance not specified, likely annual or multi-year access - Section 508 compliance is mandatory - Commercial opportunity for similar database providers to submit capability statements

Description

The Contractor will provide CMS with a license to access the Private Marketscan Commercial Health Insurance Claims Database, including data from 1998 through the most recent available year, delivered via a secure data sharing portal. Specifically, the contractor will provide:

Commercial claims data including total payments (claim payments and allowed charges) by provider and health care service, using standard classification codes such as ICD-9, CPT, DRG, and NDC. Cost-sharing data including co-payments, co-insurance, and deductibles. Utilization data including visits, stays, and prescriptions dispensed. Demographic identifiers including age and gender. Claim payer plan type information sourced from numerous private health insurance plans. Technical support and documentation, including a data dictionary or glossary of terms/data variables, answers to database-related questions, and documentation detailing the methods used to construct the database. Data quality notifications to the CMS Contracting Officer's Representative (COR) within 3 business days of identifying any data quality issues, including a remediation plan. Section 508 compliance support, ensuring all data files and associated documentation meet ICT accessibility requirements.

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